高钙血症的临床诊治和进展:内分泌科视角  

Clinical diagnosis,treatment and progression of hypercalcemia:an endocrinological perspective

作　　者：倪奇 陈康[1] NI Qi;CHEN Kang(Department of Endocrinology,First Medical Center,General Hospital of the People's Liberation Army,Beijing 100853,China)

机构地区：[1]解放军总医院第一医学中心内分泌科,北京100853

出　　处：《中国实用内科杂志》2024年第5期365-372,共8页Chinese Journal of Practical Internal Medicine

基　　金：北京市科委重点项目(D141107005314004)。

摘　　要：高钙血症是临床常见的内分泌代谢紊乱之一,是指血清离子钙浓度的异常升高。高钙血症是一大类异质性疾病,原因繁多,最常见的原因是原发性甲状旁腺功能亢进(primary hyperparathyroidism,PHPT)或恶性肿瘤,其余少见原因也是临床诊治中的难点。根据血钙水平分为轻度、中度或重度高钙血症,轻度高钙血症通常没有典型体征,严重高钙血症的特征为脱水体征。高钙血症的治疗包括高钙危象的处理,以及高钙血症病因的评估及对因治疗。Hypercalcemia is one of the common endocrine metabolic disorders in clinical work,which refers to an abnormal increase in serum calcium concentration.Hypercalcemia is a main type of heterogeneous disease with various causes.The most common reasons are primary hyperparathyroidism(PHPT)or malignant tumors,while other rare causes are also difficulties in clinical diagnosis and treatment.According to total calcium levels,it is classified as mild,moderate,or severe hypercalcemia.Mild hypercalcemia usually does not have typical symptoms,while severe hypercalcemia is characterized by dehydration signs.The treatment for hypercalcemia includes the management of hypercalcemic crisis,as well as the evaluation and etiological treatment of hypercalcemia.

关 键 词：高钙血症 甲状旁腺功能亢进 甲状旁腺激素 高钙危象 

分 类 号：R589[医药卫生—内分泌]